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type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747217306173441" itemCode="CM-0-2-1-5"><a id="1463747217306173441_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747217306173441_Note"></span></div><div class="itemTR" id="1463747219785007106_Row" dic='[{"formItemId":1463747219785007106,"isDefault":0,"updateDate":1706076831000,"code":"UTD","id":1463747814600228866,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-2-1" class="itemDescTD">发病日期时间是否无法确定或无记录</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463747219785007106" itemCode="CM-0-2-2-1"></div><a id="1463747219785007106_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747219785007106_Note"></span></div><div class="itemTR" id="1463747222221897729_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>发病日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747222221897729" itemCode="CM-0-2-2-2"><a id="1463747222221897729_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747222221897729_Note"></span></div><div class="itemTR" id="1463747224470044674_Row" dic='[{"formItemId":1463747224470044674,"isDefault":0,"updateDate":1706076831000,"code":"UTD","id":1463747817519464449,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-3-1" class="itemDescTD">到达本院急诊或者门诊日期时间是否无法确定或无记录</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463747224470044674" itemCode="CM-0-2-3-1"></div><a id="1463747224470044674_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747224470044674_Note"></span></div><div class="itemTR" id="1463747226667859970_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>到达本院急诊或者门诊日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747226667859970" itemCode="CM-0-2-3-2"><a id="1463747226667859970_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747226667859970_Note"></span></div><div class="itemTR" id="1463747228802760705_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747228802760705" itemCode="CM-0-2-4-1"><a id="1463747228802760705_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747228802760705_Note"></span></div><div class="itemTR" id="1463747230929272834_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747230929272834" itemCode="CM-0-2-4-2"><a id="1463747230929272834_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747230929272834_Note"></span></div><div class="itemTR" id="1463747233085145090_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-5-1" class="itemDescTD">入住ICU/卒中中心日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747233085145090" itemCode="CM-0-2-5-1"><a id="1463747233085145090_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747233085145090_Note"></span></div><div class="itemTR" id="1463747235282960385_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-5-2" class="itemDescTD">离开ICU/卒中中心日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747235282960385" itemCode="CM-0-2-5-2"><a id="1463747235282960385_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747235282960385_Note"></span></div><div class="itemTR" id="1463747237417861121_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-6-1" class="itemDescTD">手术开始（切皮）日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747237417861121" itemCode="CM-0-2-6-1"><a id="1463747237417861121_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747237417861121_Note"></span></div><p title="其他相关信息：" class="itemsubCat">其他相关信息：</p><div class="itemTR" id="1463747239548567553_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-6-2" class="itemDescTD">手术结束（缝皮结束）日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747239548567553" itemCode="CM-0-2-6-2"><a id="1463747239548567553_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747239548567553_Note"></span></div><div class="itemTR" id="1463747241767354370_Row" dic='[{"formItemId":1463747241767354370,"isDefault":0,"updateDate":1706076831000,"code":"def","id":1463747819264294914,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463747241767354370,"isDefault":0,"updateDate":1706076831000,"code":"a","id":1463747820161875970,"indNo":2,"isActive":1,"desc":"城镇职工基本医疗保险"},{"formItemId":1463747241767354370,"isDefault":0,"updateDate":1706076831000,"code":"b","id":1463747821231423490,"indNo":3,"isActive":1,"desc":"城镇居民基本医疗保险"},{"formItemId":1463747241767354370,"isDefault":0,"updateDate":1706076831000,"code":"c","id":1463747822082867202,"indNo":4,"isActive":1,"desc":"新型农村合作医疗"},{"formItemId":1463747241767354370,"isDefault":0,"updateDate":1706076831000,"code":"d","id":1463747822988836865,"indNo":5,"isActive":1,"desc":"贫困救助"},{"formItemId":1463747241767354370,"isDefault":0,"updateDate":1706076831000,"code":"e","id":1463747823932555266,"indNo":6,"isActive":1,"desc":"商业医疗保险"},{"formItemId":1463747241767354370,"isDefault":0,"updateDate":1706076831000,"code":"f","id":1463747824859496449,"indNo":7,"isActive":1,"desc":"公费医疗"},{"formItemId":1463747241767354370,"isDefault":0,"updateDate":1706076831000,"code":"g","id":1463747827250249730,"indNo":8,"isActive":1,"desc":"全自费"},{"formItemId":1463747241767354370,"isDefault":0,"updateDate":1706076831000,"code":"h","id":1463747828089110530,"indNo":9,"isActive":1,"desc":"其他社会保险"},{"formItemId":1463747241767354370,"isDefault":0,"updateDate":1706076831000,"code":"i","id":1463747829070577666,"indNo":10,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>费用支付方式</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747241767354370" itemCode="CM-0-3-1"><a id="1463747241767354370_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747241767354370_Note"></span></div><div class="itemTR" id="1463747243940003841_Row" dic='[{"formItemId":1463747243940003841,"isDefault":0,"updateDate":1706076831000,"code":"def","id":1463747833822724097,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463747243940003841,"isDefault":0,"updateDate":1706076831000,"code":"a","id":1463747834649001985,"indNo":2,"isActive":1,"desc":"门诊"},{"formItemId":1463747243940003841,"isDefault":0,"updateDate":1706076831000,"code":"b","id":1463747835458502658,"indNo":3,"isActive":1,"desc":"急诊"},{"formItemId":1463747243940003841,"isDefault":0,"updateDate":1706076831000,"code":"c","id":1463747836276391938,"indNo":4,"isActive":1,"desc":"其他医疗机构转入"},{"formItemId":1463747243940003841,"isDefault":0,"updateDate":1706076831000,"code":"d","id":1463747837077504002,"indNo":5,"isActive":1,"desc":"院内其他临床科室转入"},{"formItemId":1463747243940003841,"isDefault":0,"updateDate":1706076831000,"code":"e","id":1463747837866033153,"indNo":6,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>收入住院途径</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747243940003841" itemCode="CM-0-3-2"><a id="1463747243940003841_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747243940003841_Note"></span></div><div class="itemTR" id="1463747246058127361_Row" dic='[{"formItemId":1463747246058127361,"isDefault":0,"updateDate":1706076831000,"code":"def","id":1463747839514394625,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463747246058127361,"isDefault":0,"updateDate":1706076831000,"code":"a","id":1463747840462307330,"indNo":2,"isActive":1,"desc":"救护车"},{"formItemId":1463747246058127361,"isDefault":0,"updateDate":1706076831000,"code":"b","id":1463747841250836481,"indNo":3,"isActive":1,"desc":"出租车"},{"formItemId":1463747246058127361,"isDefault":0,"updateDate":1706076831000,"code":"c","id":1463747842039365634,"indNo":4,"isActive":1,"desc":"私家车"},{"formItemId":1463747246058127361,"isDefault":0,"updateDate":1706076831000,"code":"d","id":1463747842819506178,"indNo":5,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>到院交通工具</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747246058127361" itemCode="CM-0-3-3"><a id="1463747246058127361_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747246058127361_Note"></span></div></div><div class="itemCat" id="Title1" onclick="objScreen.toggle('aSAH-1 急诊影像学检查情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;aSAH-1 急诊影像学检查情况</div><div title="aSAH-1 急诊影像学检查情况"><p title="到达本院急诊医师接诊：" class="itemsubCat">到达本院急诊医师接诊：</p><div class="itemTR" id="1463747248251748353_Row" dic='[{"formItemId":1463747248251748353,"isDefault":0,"updateDate":1706076831000,"code":"UTD","id":1463747844400758785,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="aSAH-1-1-1-1" class="itemDescTD">急诊医师接诊日期是否确定</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463747248251748353" itemCode="aSAH-1-1-1-1"></div><a id="1463747248251748353_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747248251748353_Note"></span></div><div class="itemTR" id="1463747250395037697_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-1-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>本院急诊医师接诊日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747250395037697" itemCode="aSAH-1-1-1"><a id="1463747250395037697_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747250395037697_Note"></span></div><p title="患者基础信息：" class="itemsubCat">患者基础信息：</p><div class="itemTR" id="1463747253729509378_Row" dic='[{"formItemId":1463747253729509378,"isDefault":0,"updateDate":1706076831000,"code":"UTD","id":1463747846023954433,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="aSAH-1-2-1-1" class="itemDescTD">患者基础信息是否确定</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463747253729509378" itemCode="aSAH-1-2-1-1"></div><a id="1463747253729509378_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747253729509378_Note"></span></div><div class="itemTR" id="1463747255897964546_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>身高(cm)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747255897964546" itemCode="aSAH-1-2-1"><a id="1463747255897964546_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747255897964546_Note"></span></div><div class="itemTR" id="1463747258120945665_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-1-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>体重(kg)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747258120945665" itemCode="aSAH-1-2-2"><a id="1463747258120945665_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747258120945665_Note"></span></div><div class="itemTR" id="1463747260478144513_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-1-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>呼吸(次/分)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747260478144513" itemCode="aSAH-1-2-3"><a id="1463747260478144513_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747260478144513_Note"></span></div><div class="itemTR" id="1463747262948589570_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-1-2-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>脉搏(次/分)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747262948589570" itemCode="aSAH-1-2-4"><a id="1463747262948589570_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747262948589570_Note"></span></div><div class="itemTR" id="1463747265158987778_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-1-2-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>收缩压(mmHg)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747265158987778" itemCode="aSAH-1-2-5"><a id="1463747265158987778_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747265158987778_Note"></span></div><div class="itemTR" id="1463747267335831554_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-1-2-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>舒张压(mmHg)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747267335831554" itemCode="aSAH-1-2-6"><a id="1463747267335831554_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747267335831554_Note"></span></div><p title="发病 24 小时内到院急诊首次用Glasgow昏迷量表评估病情" class="itemsubCat">发病 24 小时内到院急诊首次用Glasgow昏迷量表评估病情</p><div class="itemTR" id="1725344300763463681_Row" dic='[{"formItemId":1725344300763463681,"isDefault":0,"updateDate":1706076831000,"code":"y","id":1725344356619010050,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1725344300763463681,"isDefault":0,"updateDate":1706076831000,"code":"n","id":1725344356677730305,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="aSAH-1-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施格拉斯哥昏迷评估</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1725344300763463681" itemCode="aSAH-1-4-1"></div><a id="1725344300763463681_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725344300763463681_Note"></span></div><div class="itemTR" id="1725344300977373185_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-1-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实施格拉斯哥昏迷评估分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725344300977373185" itemCode="aSAH-1-4-2"><a id="1725344300977373185_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725344300977373185_Note"></span></div><div class="itemTR" id="1725344301178699777_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-1-4-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>评估日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725344301178699777" itemCode="aSAH-1-4-3"><a id="1725344301178699777_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725344301178699777_Note"></span></div><p title="急诊首次头部影像学检查：" class="itemsubCat">急诊首次头部影像学检查：</p><div class="itemTR" id="1463747269558812674_Row" dic='[{"formItemId":1463747269558812674,"isDefault":0,"updateDate":1706076831000,"code":"y","id":1463747847609401345,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463747269558812674,"isDefault":0,"updateDate":1706076831000,"code":"n","id":1463747848431484930,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="aSAH-1-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施首次头部影像学检查</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463747269558812674" itemCode="aSAH-1-3-1"></div><a id="1463747269558812674_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747269558812674_Note"></span></div><div class="itemTR" id="1463747271735656450_Row" dic='[{"formItemId":1463747271735656450,"isDefault":0,"updateDate":1706076831000,"code":"def","id":1463747850230841346,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463747271735656450,"isDefault":0,"updateDate":1706076831000,"code":"a","id":1463747851061313537,"indNo":2,"isActive":1,"desc":"计算机断层扫描-非增强（NECT）"},{"formItemId":1463747271735656450,"isDefault":0,"updateDate":1706076831000,"code":"b","id":1463747852327993346,"indNo":3,"isActive":1,"desc":"CT灌注成像（CTP）"},{"formItemId":1463747271735656450,"isDefault":0,"updateDate":1706076831000,"code":"c","id":1463747853162659842,"indNo":4,"isActive":1,"desc":"CT血管成像（CTA）"},{"formItemId":1463747271735656450,"isDefault":0,"updateDate":1706076831000,"code":"UTD","id":1463747854018297858,"indNo":5,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="aSAH-1-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>急诊首次头部影像学检查项目</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747271735656450" itemCode="aSAH-1-3-2"><a id="1463747271735656450_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747271735656450_Note"></span></div><div class="itemTR" id="1463747273929277442_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-1-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>CT检查回报日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747273929277442" itemCode="aSAH-1-3-3"><a id="1463747273929277442_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747273929277442_Note"></span></div><div class="itemTR" id="1725344301988200450_Row" dic='[{"formItemId":1725344301988200450,"isDefault":0,"updateDate":1706076831000,"code":"def","matchRule":"","updateUser":"admin","id":1725344357424316418,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1725344301988200450,"isDefault":0,"updateDate":1706076831000,"code":"a","matchRule":"","updateUser":"admin","id":1725344357541756929,"indNo":2,"isActive":1,"keyword":"瘤性出血","desc":"动脉瘤性出血"},{"formItemId":1725344301988200450,"isDefault":0,"updateDate":1706076831000,"code":"b","matchRule":"","updateUser":"admin","id":1725344357604671489,"indNo":3,"isActive":1,"keyword":"脑周围出血","desc":"非动脉瘤性中脑周围出血"},{"formItemId":1725344301988200450,"isDefault":0,"updateDate":1706076831000,"code":"c","matchRule":"","updateUser":"admin","id":1725344357663391745,"indNo":4,"isActive":1,"keyword":"","desc":"非动脉瘤性出血、非动脉瘤性中脑周围出血"},{"formItemId":1725344301988200450,"isDefault":0,"updateDate":1706076831000,"code":"UTD","matchRule":"","updateUser":"admin","id":1725344357726306305,"indNo":5,"isActive":1,"keyword":"","desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="aSAH-1-3-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>CT检查回报结果</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725344301988200450" itemCode="aSAH-1-3-4"><a id="1725344301988200450_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725344301988200450_Note"></span></div></div><div class="itemCat" id="Title2" onclick="objScreen.toggle('aSAH-2 入院Hunt-Hess分级情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;aSAH-2 入院Hunt-Hess分级情况</div><div title="aSAH-2 入院Hunt-Hess分级情况"><p title="入院后首次Hunt-Hess分级情况" class="itemsubCat">入院后首次Hunt-Hess分级情况</p><div class="itemTR" id="1463747276101926914_Row" dic='[{"formItemId":1463747276101926914,"isDefault":0,"updateDate":1706076831000,"code":"y","id":1463747855637299202,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463747276101926914,"isDefault":0,"updateDate":1706076831000,"code":"n","id":1463747856501325825,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="aSAH-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施入院Hunt-Hess分级评估</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463747276101926914" itemCode="aSAH-2-1-1"></div><a id="1463747276101926914_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747276101926914_Note"></span></div><div class="itemTR" id="1463747280493363202_Row" dic='[{"formItemId":1463747280493363202,"isDefault":0,"updateDate":1706076831000,"code":"def","id":1463747858099355650,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463747280493363202,"isDefault":0,"updateDate":1706076831000,"code":"a","id":1463747858917244930,"indNo":2,"isActive":1,"desc":"高血压"},{"formItemId":1463747280493363202,"isDefault":0,"updateDate":1706076831000,"code":"b","id":1463747859714162689,"indNo":3,"isActive":1,"desc":"糖尿病"},{"formItemId":1463747280493363202,"isDefault":0,"updateDate":1706076831000,"code":"c","id":1463747860490108929,"indNo":4,"isActive":1,"desc":"严重动脉硬化"},{"formItemId":1463747280493363202,"isDefault":0,"updateDate":1706076831000,"code":"d","id":1463747861270249474,"indNo":5,"isActive":1,"desc":"慢性肺病"},{"formItemId":1463747280493363202,"isDefault":0,"updateDate":1706076831000,"code":"e","id":1463747862058778625,"indNo":6,"isActive":1,"desc":"动脉造影上有严重血管痉挛"},{"formItemId":1463747280493363202,"isDefault":0,"updateDate":1706076831000,"code":"oth","id":1463747862851502082,"indNo":7,"isActive":1,"desc":"其他"},{"formItemId":1463747280493363202,"isDefault":0,"updateDate":1706076831000,"code":"UTD","id":1463747863644225537,"indNo":8,"isActive":1,"desc":"住院病历既往史中无严重全身疾患的记录"}]'><div style="display:inline-block;width:35%;" title="aSAH-2-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>既往是否有严重的全身疾患</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747280493363202" itemCode="aSAH-2-1-4"><a id="1463747280493363202_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747280493363202_Note"></span></div><div class="itemTR" id="1463747282963808258_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-2-1-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>既往严重的全身疾患其他</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747282963808258" itemCode="aSAH-2-1-4-1"><a id="1463747282963808258_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747282963808258_Note"></span></div><div class="itemTR" id="1463747285081931778_Row" dic='[{"formItemId":1463747285081931778,"isDefault":0,"updateDate":1706076831000,"code":"def","id":1463747865259032578,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463747285081931778,"isDefault":0,"updateDate":1706076831000,"code":"a","id":1463747866068533250,"indNo":2,"isActive":1,"desc":"Ⅰ级 无症状或轻微头痛及轻度颈强直"},{"formItemId":1463747285081931778,"isDefault":0,"updateDate":1706076831000,"code":"b","id":1463747866861256705,"indNo":3,"isActive":1,"desc":"Ⅱ级 中-重度头痛，颈强直，除有颅神经麻痹外，无其他神经功能缺失"},{"formItemId":1463747285081931778,"isDefault":0,"updateDate":1706076831000,"code":"c","id":1463747867649785858,"indNo":4,"isActive":1,"desc":"Ⅲ级 倦睡，意识模糊，或轻微的灶性神经功能缺失"},{"formItemId":1463747285081931778,"isDefault":0,"updateDate":1706076831000,"code":"d","id":1463747868564144129,"indNo":5,"isActive":1,"desc":"Ⅳ级 木僵，中或重度偏侧不全麻痹，可能有早期的去脑强直及植物神 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itemCode="aSAH-2-1-3"><a id="1463747287162306561_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747287162306561_Note"></span></div><p title="入院后基于GCS评分值进行首次WFNS分级评估" class="itemsubCat">入院后基于GCS评分值进行首次WFNS分级评估</p><div class="itemTR" id="1725344303259074561_Row" dic='[{"formItemId":1725344303259074561,"isDefault":0,"updateDate":1706076831000,"code":"y","id":1725344359286587394,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1725344303259074561,"isDefault":0,"updateDate":1706076831000,"code":"n","id":1725344359349501954,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="aSAH-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否基于GCS评分值进行首次WFNS分级评估</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1725344303259074561" itemCode="aSAH-2-2-1"></div><a id="1725344303259074561_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725344303259074561_Note"></span></div><div class="itemTR" id="1725344303468789762_Row" dic='[{"formItemId":1725344303468789762,"isDefault":0,"updateDate":1706076831000,"code":"def","id":1725344359466942465,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1725344303468789762,"isDefault":0,"updateDate":1706076831000,"code":"a","id":1725344359529857026,"indNo":2,"isActive":1,"desc":"Ⅰ 级: GCS评分15分，无运动障碍"},{"formItemId":1725344303468789762,"isDefault":0,"updateDate":1706076831000,"code":"b","id":1725344359601160194,"indNo":3,"isActive":1,"desc":"Ⅱ 级: GCS评分13-14分，无运动障碍"},{"formItemId":1725344303468789762,"isDefault":0,"updateDate":1706076831000,"code":"c","id":1725344359718600706,"indNo":4,"isActive":1,"desc":"Ⅲ 级: GCS评分13-14分，有运动障碍"},{"formItemId":1725344303468789762,"isDefault":0,"updateDate":1706076831000,"code":"d","id":1725344359773126658,"indNo":5,"isActive":1,"desc":"Ⅳ 级: 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id="1725344303661727745" itemCode="aSAH-2-2-3"><a id="1725344303661727745_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725344303661727745_Note"></span></div></div><div class="itemCat" id="Title3" onclick="objScreen.toggle('aSAH-3 术前检查情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;aSAH-3 术前检查情况</div><div title="aSAH-3 术前检查情况"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1725344303850471426_Row" dic='[{"formItemId":1725344303850471426,"isDefault":0,"updateDate":1706076831000,"code":"a","id":1725344359945093121,"indNo":1,"isActive":1,"desc":"保持呼吸道通畅（Ⅰ级推荐，B级证据）"},{"formItemId":1725344303850471426,"isDefault":0,"updateDate":1706076831000,"code":"b","id":1725344360012201986,"indNo":2,"isActive":1,"desc":"监测血压，保持在收缩压<160 mmHg和平均动脉压>90 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dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-3-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他术前监测和处理</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725344304081158145" itemCode="aSAH-3-2-1-1"><a id="1725344304081158145_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725344304081158145_Note"></span></div><div class="itemTR" id="1463747293697032193_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-3-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>完成全部术前监测和处理的日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747293697032193" itemCode="aSAH-3-1-2"><a id="1463747293697032193_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747293697032193_Note"></span></div></div><div class="itemCat" id="Title4" onclick="objScreen.toggle('aSAH-4 实行血管检查（CTA/DSA）情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;aSAH-4 实行血管检查（CTA/DSA）情况</div><div title="aSAH-4 实行血管检查（CTA/DSA）情况"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463747295865487361_Row" dic='[{"formItemId":1463747295865487361,"isDefault":0,"updateDate":1706076831000,"code":"y","id":1463747878915686401,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463747295865487361,"isDefault":0,"updateDate":1706076831000,"code":"n","id":1463747879691632641,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="aSAH-4-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否入院后实施首次CT血管成像（CTA）</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463747295865487361" itemCode="aSAH-4-2-1"></div><a id="1463747295865487361_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747295865487361_Note"></span></div><div class="itemTR" id="1463747299178987521_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-4-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>完成首次CT血管成像（CTA）报告日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747299178987521" itemCode="aSAH-4-2-2"><a id="1463747299178987521_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747299178987521_Note"></span></div><div class="itemTR" id="1725344304966156289_Row" 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class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747303826276354" itemCode="aSAH-4-3-2"><a id="1463747303826276354_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747303826276354_Note"></span></div><div class="itemTR" id="1725344305574330370_Row" dic='[{"formItemId":1725344305574330370,"isDefault":0,"updateDate":1706076831000,"code":"y","id":1725344361274687489,"indNo":1,"isActive":1,"desc":"是,阳性"},{"formItemId":1725344305574330370,"isDefault":0,"updateDate":1706076831000,"code":"n","id":1725344361345990657,"indNo":2,"isActive":1,"desc":"否,阴性"}]'><div style="display:inline-block;width:35%;" title="aSAH-4-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>DSA报告结论</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1725344305574330370" itemCode="aSAH-4-3-3"></div><a id="1725344305574330370_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725344305574330370_Note"></span></div><p title="基于影像检查结果行改良的Fisher分级" class="itemsubCat">基于影像检查结果行改良的Fisher分级</p><div class="itemTR" id="1725344305767268353_Row" dic='[{"formItemId":1725344305767268353,"isDefault":0,"updateDate":1706076831000,"code":"y","id":1725344361488596994,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1725344305767268353,"isDefault":0,"updateDate":1706076831000,"code":"n","id":1725344361572483074,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="aSAH-4-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否基于影像检查结果行改良的Fisher分级</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1725344305767268353" itemCode="aSAH-4-4-1"></div><a id="1725344305767268353_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725344305767268353_Note"></span></div><div class="itemTR" id="1725344305960206337_Row" dic='[{"formItemId":1725344305960206337,"isDefault":0,"updateDate":1706076831000,"code":"def","id":1725344361727672322,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1725344305960206337,"isDefault":0,"updateDate":1706076831000,"code":"a","id":1725344361794781185,"indNo":2,"isActive":1,"desc":"无SAH或脑室内出血:0分"},{"formItemId":1725344305960206337,"isDefault":0,"updateDate":1706076831000,"code":"b","id":1725344361857695745,"indNo":3,"isActive":1,"desc":"少量或薄层SAH，不伴双侧脑室内出血:1分"},{"formItemId":1725344305960206337,"isDefault":0,"updateDate":1706076831000,"code":"c","id":1725344361928998913,"indNo":4,"isActive":1,"desc":"少量或薄层SAH，伴双侧脑室内出血:2分"},{"formItemId":1725344305960206337,"isDefault":0,"updateDate":1706076831000,"code":"d","id":1725344361996107777,"indNo":5,"isActive":1,"desc":"蛛网膜下腔出血量大*，不伴双侧脑室内出血:3分"},{"formItemId":1725344305960206337,"isDefault":0,"updateDate":1706076831000,"code":"e","id":1725344362084188161,"indNo":6,"isActive":1,"desc":"蛛网膜下腔出血量大*，伴双侧脑室内出血:4分"}]'><div style="display:inline-block;width:35%;" title="aSAH-4-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>改良的Fisher分级</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725344305960206337" itemCode="aSAH-4-4-2"><a id="1725344305960206337_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725344305960206337_Note"></span></div><div class="itemTR" id="1725344306157338626_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-4-4-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>改良的Fisher分级分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725344306157338626" itemCode="aSAH-4-4-3"><a id="1725344306157338626_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725344306157338626_Note"></span></div></div><div class="itemCat" id="Title5" onclick="objScreen.toggle('aSAH-5 术前Hunt-Hess再分级情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;aSAH-5 术前Hunt-Hess再分级情况</div><div title="aSAH-5 术前Hunt-Hess再分级情况"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463747306019897346_Row" 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name="isNeeded" style="color:red">*</span>入院后治疗模式的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747306019897346" itemCode="aSAH-5-2-1"><a id="1463747306019897346_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747306019897346_Note"></span></div><div class="itemTR" id="1463747308175769602_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-5-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院后其他治疗模式</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747308175769602" itemCode="aSAH-5-2-1-1"><a id="1463747308175769602_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747308175769602_Note"></span></div><div class="itemTR" id="1463747310461665282_Row" dic='[{"formItemId":1463747310461665282,"isDefault":0,"updateDate":1706076831000,"code":"y","id":1463747889527275521,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463747310461665282,"isDefault":0,"updateDate":1706076831000,"code":"n","id":1463747890324193282,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="aSAH-5-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否术前再次Hunt-Hess分级评估</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463747310461665282" itemCode="aSAH-5-1-1"></div><a id="1463747310461665282_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747310461665282_Note"></span></div><div class="itemTR" id="1463747313359929346_Row" dic='[{"formItemId":1463747313359929346,"isDefault":0,"updateDate":1706076831000,"code":"def","id":1463747891901251585,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463747313359929346,"isDefault":0,"updateDate":1706076831000,"code":"a","id":1463747892702363650,"indNo":2,"isActive":1,"desc":"Ⅰ级 无症状或轻微头痛及轻度颈强直"},{"formItemId":1463747313359929346,"isDefault":0,"updateDate":1706076831000,"code":"b","id":1463747893599944706,"indNo":3,"isActive":1,"desc":"Ⅱ级 中-重度头痛.颈强直 除有颅神经麻痹外，无其他神经功能缺失"},{"formItemId":1463747313359929346,"isDefault":0,"updateDate":1706076831000,"code":"c","id":1463747894388473857,"indNo":4,"isActive":1,"desc":"Ⅲ级 倦睡，意识模糊，或轻微的灶性神经功能缺失"},{"formItemId":1463747313359929346,"isDefault":0,"updateDate":1706076831000,"code":"d","id":1463747895252500481,"indNo":5,"isActive":1,"desc":"Ⅳ级 木僵，中或重度偏侧不全麻痹，可能有早期的去脑强直及植物神 经系统功能障碍"},{"formItemId":1463747313359929346,"isDefault":0,"updateDate":1706076831000,"code":"e","id":1463747896082972674,"indNo":6,"isActive":1,"desc":"Ⅴ级 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id="1463747315507412993_Note"></span></div></div><div class="itemCat" id="Title6" onclick="objScreen.toggle('aSAH-6 手术治疗情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;aSAH-6 手术治疗情况</div><div title="aSAH-6 手术治疗情况"><p title="蛛网膜下腔出血的治疗指征蛛网膜下腔出血的治疗指征" class="itemsubCat">蛛网膜下腔出血的治疗指征蛛网膜下腔出血的治疗指征</p><div class="itemTR" id="1725344307340132353_Row" dic='[{"formItemId":1725344307340132353,"isDefault":0,"updateDate":1706076831000,"code":"def","id":1725344363384422401,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1725344307340132353,"isDefault":0,"updateDate":1706076831000,"code":"a","id":1725344363443142657,"indNo":2,"isActive":1,"desc":"Ⅰ级 无症状或轻微头痛及轻度颈强直"},{"formItemId":1725344307340132353,"isDefault":0,"updateDate":1706076831000,"code":"b","id":1725344363510251521,"indNo":3,"isActive":1,"desc":"Ⅱ级 中-重度头痛.颈强直 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id="1725344307340132353_Note"></span></div><div class="itemTR" id="1725344307767951362_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-6-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术时机(天)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725344307767951362" itemCode="aSAH-6-3-2"><a id="1725344307767951362_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725344307767951362_Note"></span></div><div class="itemTR" id="1725344307965083649_Row" 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id="1463747365155389442_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747365155389442_Note"></span></div><div class="itemTR" id="1463747367638417410_Row" dic='[{"formItemId":1463747367638417410,"isDefault":0,"updateDate":1706076831000,"code":"y","id":1463747989821472770,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463747367638417410,"isDefault":0,"updateDate":1706076831000,"code":"n","id":1463747990618390530,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-5-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术中出血量是否≥1500ml</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463747367638417410" itemCode="CM-1-5-3"></div><a id="1463747367638417410_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747367638417410_Note"></span></div><div class="itemTR" id="1463747369836232705_Row" dic='[{"formItemId":1463747369836232705,"isDefault":0,"updateDate":1706076831000,"code":"y","id":1463747993617317889,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463747369836232705,"isDefault":0,"updateDate":1706076831000,"code":"n","id":1463747994552647682,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-5-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否术中追加抗菌药物</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463747369836232705" itemCode="CM-1-5-4"></div><a id="1463747369836232705_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747369836232705_Note"></span></div><div class="itemTR" id="1463747371929190401_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-1-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术后抗菌药物停止使用时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747371929190401" itemCode="CM-1-6-1"><a id="1463747371929190401_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747371929190401_Note"></span></div><div class="itemTR" id="1463747378942066690_Row" 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style="color:red">*</span>术后72小时之后继续使用的原因</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463747378942066690" itemCode="CM-1-6-3-2"></div><a id="1463747378942066690_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747378942066690_Note"></span></div></div><div class="itemCat" id="Title9" onclick="objScreen.toggle('aSAH-9 特殊类型的急性aSAH患者开颅术后抗癫痫药物预防性使用情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;aSAH-9 特殊类型的急性aSAH患者开颅术后抗癫痫药物预防性使用情况</div><div title="aSAH-9 特殊类型的急性aSAH患者开颅术后抗癫痫药物预防性使用情况"><p title="特殊类型的急性aSAH患者：" class="itemsubCat">特殊类型的急性aSAH患者：</p><div class="itemTR" id="1463747381425094657_Row" 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class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者类型的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747384143003650" itemCode="aSAH-9-1-2"><a id="1463747384143003650_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747384143003650_Note"></span></div><p title="开颅术后预防使用抗癫痫药物：" class="itemsubCat">开颅术后预防使用抗癫痫药物：</p><div class="itemTR" id="1463747386454065153_Row" dic='[{"formItemId":1463747386454065153,"isDefault":0,"updateDate":1706076831000,"code":"y","id":1463748014081327106,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463747386454065153,"isDefault":0,"updateDate":1706076831000,"code":"n","id":1463748014865661954,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="aSAH-9-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>开颅术后是否预防使用抗癫痫药物</div><div class="RadioGroup" 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title="CM-2-3-12" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>麻醉并发症</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747423963725826" itemCode="CM-2-3-12"><a id="1463747423963725826_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747423963725826_Note"></span></div><div class="itemTR" id="1463747426123792386_Row" dic='[{"formItemId":1463747426123792386,"isDefault":0,"updateDate":1706076831000,"code":"def","id":1463748126849384450,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463747426123792386,"isDefault":0,"updateDate":1706076831000,"code":"a","id":1463748127633719297,"indNo":2,"isActive":1,"desc":"T80.1输注、输血和治疗性注射后的血管并发症"},{"formItemId":1463747426123792386,"isDefault":0,"updateDate":1706076831000,"code":"b","id":1463748128682295298,"indNo":3,"isActive":1,"desc":"T80.2输注、输血和治疗性注射后的感染"},{"formItemId":1463747426123792386,"isDefault":0,"updateDate":1706076831000,"code":"c","id":1463748129487601666,"indNo":4,"isActive":1,"desc":"T80.3ABO血型不配合性反应"},{"formItemId":1463747426123792386,"isDefault":0,"updateDate":1706076831000,"code":"d","id":1463748130305490945,"indNo":5,"isActive":1,"desc":"T80.4Rh不配合性反应"},{"formItemId":1463747426123792386,"isDefault":0,"updateDate":1706076831000,"code":"e","id":1463748131131768833,"indNo":6,"isActive":1,"desc":"T80.5血清引起的过敏性休克"},{"formItemId":1463747426123792386,"isDefault":0,"updateDate":1706076831000,"code":"f","id":1463748131941269506,"indNo":7,"isActive":1,"desc":"T80.6其他血清反应"},{"formItemId":1463747426123792386,"isDefault":0,"updateDate":1706076831000,"code":"g","id":1463748132725604354,"indNo":8,"isActive":1,"desc":"T80.8输注、输血和治疗性注射后的其他并发症"},{"formItemId":1463747426123792386,"isDefault":0,"updateDate":1706076831000,"code":"h","id":1463748133501550594,"indNo":9,"isActive":1,"desc":"T80.9输注、输血和治疗性注射后未特指的并发症"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-13" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>输注、输血反应</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747426123792386" itemCode="CM-2-3-13"><a id="1463747426123792386_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747426123792386_Note"></span></div><div class="itemTR" id="1463747428258693121_Row" dic='[{"formItemId":1463747428258693121,"isDefault":0,"updateDate":1706076831000,"code":"def","id":1463748135078608897,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463747428258693121,"isDefault":0,"updateDate":1706076831000,"code":"a","id":1463748135862943745,"indNo":2,"isActive":1,"desc":"L89.0受压区Ⅰ期褥疮"},{"formItemId":1463747428258693121,"isDefault":0,"updateDate":1706076831000,"code":"b","id":1463748136638889985,"indNo":3,"isActive":1,"desc":"L89.1受压区Ⅱ期褥疮"},{"formItemId":1463747428258693121,"isDefault":0,"updateDate":1706076831000,"code":"c","id":1463748137423224833,"indNo":4,"isActive":1,"desc":"L89.2受压区Ⅲ期褥疮"},{"formItemId":1463747428258693121,"isDefault":0,"updateDate":1706076831000,"code":"d","id":1463748138228531201,"indNo":5,"isActive":1,"desc":"L89.3受压区Ⅳ期褥疮"},{"formItemId":1463747428258693121,"isDefault":0,"updateDate":1706076831000,"code":"e","id":1463748139134500865,"indNo":6,"isActive":1,"desc":"L89.9未特指的受压区褥疮"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-14" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院患者发生压疮</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747428258693121" itemCode="CM-2-3-14"><a id="1463747428258693121_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747428258693121_Note"></span></div><div class="itemTR" id="1463747430410371073_Row" dic='[{"formItemId":1463747430410371073,"isDefault":0,"updateDate":1706076831000,"code":"a","id":1463748141349093378,"indNo":1,"isActive":1,"desc":"颅内感染"},{"formItemId":1463747430410371073,"isDefault":0,"updateDate":1706076831000,"code":"b","id":1463748142162788353,"indNo":2,"isActive":1,"desc":"颅内血肿"},{"formItemId":1463747430410371073,"isDefault":0,"updateDate":1706076831000,"code":"c","id":1463748142972289025,"indNo":3,"isActive":1,"desc":"术后脑水肿"},{"formItemId":1463747430410371073,"isDefault":0,"updateDate":1706076831000,"code":"d","id":1463748143748235265,"indNo":4,"isActive":1,"desc":"严重血管痉挛"},{"formItemId":1463747430410371073,"isDefault":0,"updateDate":1706076831000,"code":"e","id":1463748144553541634,"indNo":5,"isActive":1,"desc":"脑梗死"},{"formItemId":1463747430410371073,"isDefault":0,"updateDate":1706076831000,"code":"f","id":1463748145472094209,"indNo":6,"isActive":1,"desc":"脑脊液漏"},{"formItemId":1463747430410371073,"isDefault":0,"updateDate":1706076831000,"code":"g","id":1463748146256429057,"indNo":7,"isActive":1,"desc":"癫痫"},{"formItemId":1463747430410371073,"isDefault":0,"updateDate":1706076831000,"code":"h","id":1463748147019792385,"indNo":8,"isActive":1,"desc":"偏瘫"},{"formItemId":1463747430410371073,"isDefault":0,"updateDate":1706076831000,"code":"i","id":1463748147812515841,"indNo":9,"isActive":1,"desc":"失语"},{"formItemId":1463747430410371073,"isDefault":0,"updateDate":1706076831000,"code":"j","id":1463748148592656386,"indNo":10,"isActive":1,"desc":"视力缺损"},{"formItemId":1463747430410371073,"isDefault":0,"updateDate":1706076831000,"code":"k","id":1463748149725118466,"indNo":11,"isActive":1,"desc":"视野缺损"},{"formItemId":1463747430410371073,"isDefault":0,"updateDate":1706076831000,"code":"l","id":1463748150488481793,"indNo":12,"isActive":1,"desc":"脑脓肿"},{"formItemId":1463747430410371073,"isDefault":0,"updateDate":1706076831000,"code":"m","id":1463748151268622337,"indNo":13,"isActive":1,"desc":"消化道出血"},{"formItemId":1463747430410371073,"isDefault":0,"updateDate":1706076831000,"code":"oth","id":1463748152048762881,"indNo":14,"isActive":1,"desc":"其他（注明ICD-10编码及名称）"},{"formItemId":1463747430410371073,"isDefault":0,"updateDate":1706076831000,"code":"UTD","id":1463748152816320513,"indNo":15,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="aSAH-10-2-2" class="itemDescTD">aSAH术后特指并发症</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463747430410371073" itemCode="aSAH-10-2-2"></div><a id="1463747430410371073_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747430410371073_Note"></span></div><div class="itemTR" id="1463747432553660418_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-10-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其它aSAH术后特指并发症</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747432553660418" itemCode="aSAH-10-2-2-1"><a id="1463747432553660418_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747432553660418_Note"></span></div><div class="itemTR" id="1463747434696949762_Row" dic='[{"formItemId":1463747434696949762,"isDefault":0,"updateDate":1706076831000,"code":"def","id":1463748154603094017,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463747434696949762,"isDefault":0,"updateDate":1706076831000,"code":"a","id":1463748155420983297,"indNo":2,"isActive":1,"desc":"按时出院"},{"formItemId":1463747434696949762,"isDefault":0,"updateDate":1706076831000,"code":"b","id":1463748156192735234,"indNo":3,"isActive":1,"desc":"延迟出院"},{"formItemId":1463747434696949762,"isDefault":0,"updateDate":1706076831000,"code":"c","id":1463748157069344769,"indNo":4,"isActive":1,"desc":"转科继续治疗"},{"formItemId":1463747434696949762,"isDefault":0,"updateDate":1706076831000,"code":"d","id":1463748158004674561,"indNo":5,"isActive":1,"desc":"死亡"}]'><div style="display:inline-block;width:35%;" title="CM-2-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>影响程度的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747434696949762" itemCode="CM-2-4"><a id="1463747434696949762_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747434696949762_Note"></span></div><div class="itemTR" id="1463747436861210626_Row" dic='[{"formItemId":1463747436861210626,"isDefault":0,"updateDate":1706076831000,"code":"y","id":1463748159766282242,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463747436861210626,"isDefault":0,"updateDate":1706076831000,"code":"n","id":1463748161846657025,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="aSAH-10-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否手术后再手术</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463747436861210626" itemCode="aSAH-10-4-1"></div><a id="1463747436861210626_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747436861210626_Note"></span></div><div class="itemTR" id="1463747439071608834_Row" dic='[{"formItemId":1463747439071608834,"isDefault":0,"updateDate":1706076831000,"code":"a","id":1463748163637624833,"indNo":1,"isActive":1,"desc":"颅内血肿"},{"formItemId":1463747439071608834,"isDefault":0,"updateDate":1706076831000,"code":"b","id":1463748164585537538,"indNo":2,"isActive":1,"desc":"术后脑水肿"},{"formItemId":1463747439071608834,"isDefault":0,"updateDate":1706076831000,"code":"c","id":1463748165734776834,"indNo":3,"isActive":1,"desc":"脑梗死"},{"formItemId":1463747439071608834,"isDefault":0,"updateDate":1706076831000,"code":"d","id":1463748166514917377,"indNo":4,"isActive":1,"desc":"感染（含切口感染、骨髓炎、脑脓肿等）"},{"formItemId":1463747439071608834,"isDefault":0,"updateDate":1706076831000,"code":"e","id":1463748167290863618,"indNo":5,"isActive":1,"desc":"脑积水"},{"formItemId":1463747439071608834,"isDefault":0,"updateDate":1706076831000,"code":"f","id":1463748168058421250,"indNo":6,"isActive":1,"desc":"手术切口愈合不良（无明确感染征象）"},{"formItemId":1463747439071608834,"isDefault":0,"updateDate":1706076831000,"code":"oth","id":1463748168830173186,"indNo":7,"isActive":1,"desc":"其他（注明ICD-10编码及名称）"},{"formItemId":1463747439071608834,"isDefault":0,"updateDate":1706076831000,"code":"UTD","id":1463748169610313730,"indNo":8,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="aSAH-10-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术后再手术原因</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463747439071608834" itemCode="aSAH-10-4-2"></div><a id="1463747439071608834_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747439071608834_Note"></span></div><div class="itemTR" id="1463747441290395649_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-10-4-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其它手术后再手术原因</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747441290395649" itemCode="aSAH-10-4-2-1"><a id="1463747441290395649_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747441290395649_Note"></span></div></div><div class="itemCat" id="Title11" onclick="objScreen.toggle('aSAH-11 输血量')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;aSAH-11 输血量</div><div title="aSAH-11 输血量"><p title="手术出血量与输血量：" class="itemsubCat">手术出血量与输血量：</p><div class="itemTR" id="1463747443437879298_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-11-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术中出血量(ml)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747443437879298" itemCode="aSAH-11-1-1"><a id="1463747443437879298_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747443437879298_Note"></span></div><div class="itemTR" id="1463747445639888897_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-11-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术中输血量(ml)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747445639888897" itemCode="aSAH-11-1-2"><a id="1463747445639888897_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747445639888897_Note"></span></div><div class="itemTR" id="1463747447854481410_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-11-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术后出血量(ml)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747447854481410" itemCode="aSAH-11-1-3"><a id="1463747447854481410_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747447854481410_Note"></span></div><div class="itemTR" id="1463747450102628354_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-11-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术后输血量(ml)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747450102628354" itemCode="aSAH-11-1-4"><a id="1463747450102628354_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747450102628354_Note"></span></div><p title="用血类别与量：" class="itemsubCat">用血类别与量：</p><div class="itemTR" id="1463747452426272769_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-11-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>全血(ml)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747452426272769" itemCode="aSAH-11-2-1"><a id="1463747452426272769_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747452426272769_Note"></span></div><div class="itemTR" id="1463747454892523521_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-11-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>成份血(ml)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747454892523521" itemCode="aSAH-11-2-2"><a id="1463747454892523521_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747454892523521_Note"></span></div><div class="itemTR" id="1463747457040007169_Row" dic='[]'><div style="display:inline-block;width:35%;" title="aSAH-11-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血浆(ml)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747457040007169" itemCode="aSAH-11-2-3"><a id="1463747457040007169_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747457040007169_Note"></span></div></div><div class="itemCat" id="Title12" onclick="objScreen.toggle('aSAH-12 术前Hunt-Hess分级 1-2级的患者出院前完成mRs评分情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;aSAH-12 术前Hunt-Hess分级 1-2级的患者出院前完成mRs评分情况</div><div title="aSAH-12 术前Hunt-Hess分级 1-2级的患者出院前完成mRs评分情况"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463747459204268034_Row" dic='[{"formItemId":1463747459204268034,"isDefault":0,"updateDate":1706076831000,"code":"y","id":1463748171292229634,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463747459204268034,"isDefault":0,"updateDate":1706076831000,"code":"n","id":1463748172080758785,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="aSAH-12-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否为术前Hunt-Hess分级 1-2级的患者</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463747459204268034" itemCode="aSAH-12-1-1"></div><a id="1463747459204268034_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747459204268034_Note"></span></div><div class="itemTR" id="1463747461360140290_Row" dic='[{"formItemId":1463747461360140290,"isDefault":0,"updateDate":1706076831000,"code":"y","id":1463748173817200642,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463747461360140290,"isDefault":0,"updateDate":1706076831000,"code":"n","id":1463748174718976002,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="aSAH-12-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院前是否实施mRS评分</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463747461360140290" itemCode="aSAH-12-1-2"></div><a id="1463747461360140290_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747461360140290_Note"></span></div><div class="itemTR" id="1463747463708950529_Row" 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style="color:red">*</span>膳食评价</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747553756463106" itemCode="CM-5-2-11"><a id="1463747553756463106_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747553756463106_Note"></span></div></div><div class="itemCat" id="Title16" onclick="objScreen.toggle('aSAH-16 住院费用')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;aSAH-16 住院费用</div><div title="aSAH-16 住院费用"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463747555882975233_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747555882975233" itemCode="CM-6-1"><a id="1463747555882975233_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747555882975233_Note"></span></div><div class="itemTR" id="1463747558353420290_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用其中自付金额</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747558353420290" itemCode="CM-6-2"><a id="1463747558353420290_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747558353420290_Note"></span></div><div class="itemTR" id="1463747560668676098_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般医疗服务费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747560668676098" itemCode="CM-6-3"><a id="1463747560668676098_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747560668676098_Note"></span></div><div class="itemTR" id="1463747562967154690_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般治疗操作费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747562967154690" itemCode="CM-6-4"><a id="1463747562967154690_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747562967154690_Note"></span></div><div class="itemTR" id="1463747565173358594_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护理费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747565173358594" itemCode="CM-6-5"><a id="1463747565173358594_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747565173358594_Note"></span></div><div class="itemTR" id="1463747568532996098_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>综合医疗服务类其他费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747568532996098" itemCode="CM-6-6"><a id="1463747568532996098_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747568532996098_Note"></span></div><div class="itemTR" id="1463747571318013954_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病理诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747571318013954" itemCode="CM-6-7"><a id="1463747571318013954_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747571318013954_Note"></span></div><div class="itemTR" id="1463747573482274817_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实验室诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747573482274817" itemCode="CM-6-8"><a id="1463747573482274817_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747573482274817_Note"></span></div><div class="itemTR" id="1463747575654924289_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>影像学诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747575654924289" itemCode="CM-6-9"><a id="1463747575654924289_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747575654924289_Note"></span></div><div class="itemTR" id="1463747578473496577_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>临床诊断项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747578473496577" itemCode="CM-6-10"><a id="1463747578473496577_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747578473496577_Note"></span></div><div class="itemTR" id="1463747582520999938_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>非手术治疗项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747582520999938" itemCode="CM-6-11"><a id="1463747582520999938_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747582520999938_Note"></span></div><div class="itemTR" id="1463747584697843713_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-12" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：临床物理治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747584697843713" itemCode="CM-6-12"><a id="1463747584697843713_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747584697843713_Note"></span></div><div class="itemTR" id="1463747586929213442_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-13" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747586929213442" itemCode="CM-6-13"><a id="1463747586929213442_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747586929213442_Note"></span></div><div class="itemTR" id="1463747589290606594_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-14" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：麻醉费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747589290606594" itemCode="CM-6-14"><a id="1463747589290606594_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747589290606594_Note"></span></div><div class="itemTR" id="1463747591521976321_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-15" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：手术费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747591521976321" itemCode="CM-6-15"><a id="1463747591521976321_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747591521976321_Note"></span></div><div class="itemTR" id="1463747593694625794_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-16" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747593694625794" itemCode="CM-6-16"><a id="1463747593694625794_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747593694625794_Note"></span></div><div class="itemTR" id="1463747595938578433_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-17" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中医治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747595938578433" itemCode="CM-6-17"><a id="1463747595938578433_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747595938578433_Note"></span></div><div class="itemTR" id="1463747598077673473_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-18" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>西药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747598077673473" itemCode="CM-6-18"><a id="1463747598077673473_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747598077673473_Note"></span></div><div class="itemTR" id="1463747600183214082_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-19" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：抗菌药物费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747600183214082" itemCode="CM-6-19"><a id="1463747600183214082_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747600183214082_Note"></span></div><div class="itemTR" id="1463747602334892034_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-20" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中成药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747602334892034" itemCode="CM-6-20"><a id="1463747602334892034_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747602334892034_Note"></span></div><div class="itemTR" id="1463747604515930114_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-21" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中草药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747604515930114" itemCode="CM-6-21"><a id="1463747604515930114_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747604515930114_Note"></span></div><div class="itemTR" id="1463747606663413761_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-22" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747606663413761" itemCode="CM-6-22"><a id="1463747606663413761_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747606663413761_Note"></span></div><div class="itemTR" id="1463747608831868929_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-23" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>白蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747608831868929" itemCode="CM-6-23"><a id="1463747608831868929_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747608831868929_Note"></span></div><div class="itemTR" id="1463747610991935490_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-24" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>球蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747610991935490" itemCode="CM-6-24"><a id="1463747610991935490_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747610991935490_Note"></span></div><div class="itemTR" id="1463747613156196354_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-25" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>凝血因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747613156196354" itemCode="CM-6-25"><a id="1463747613156196354_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747613156196354_Note"></span></div><div class="itemTR" id="1463747615299485697_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-26" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>细胞因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747615299485697" itemCode="CM-6-26"><a id="1463747615299485697_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747615299485697_Note"></span></div><div class="itemTR" id="1463747617522466817_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-27" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>检查用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747617522466817" itemCode="CM-6-27"><a id="1463747617522466817_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747617522466817_Note"></span></div><div class="itemTR" id="1463747619686727681_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-28" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>治疗用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747619686727681" itemCode="CM-6-28"><a id="1463747619686727681_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747619686727681_Note"></span></div><div class="itemTR" id="1463747621779685377_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-29" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747621779685377" itemCode="CM-6-29"><a id="1463747621779685377_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747621779685377_Note"></span></div><div class="itemTR" id="1463747623948140545_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-30" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463747623948140545" itemCode="CM-6-30"><a id="1463747623948140545_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463747623948140545_Note"></span></div></div></div></div><div id='anchor' class='anchor'><ul class='anchor-list'><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title0'>基本信息</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title1'>aSAH-1 急诊影像学检查情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title2'>aSAH-2 入院Hunt-Hess分级情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title3'>aSAH-3 术前检查情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title4'>aSAH-4 实行血管检查</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title5'>aSAH-5 术前Hunt-Hess再分级情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title6'>aSAH-6 手术治疗情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title7'>aSAH-7 术中安全监测措施</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title8'>aSAH-8 围术期抗菌药物使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title9'>aSAH-9 特殊类型的急性aSAH患者开颅术后抗癫痫药物预防性使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title10'>aSAH-10 手术并发症与再手术情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title11'>aSAH-11 输血量</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title12'>aSAH-12 术前Hunt-Hess分级 1-2级的患者出院前完成mRs评分情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title13'>aSAH-13 住院期间为患者提供术前、术后健康教育与出院教育告知五项要素情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title14'>aSAH-14 离院方式</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title15'>aSAH-15 患者对服务的体验与评价</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title16'>aSAH-16 住院费用</a></li></ul></div>
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